Israeli strikes or gunfire killed at least 78 Palestinians across the Gaza Strip on Monday, including a pregnant woman whose baby was delivered after her death but also died, local health officials said. Dozens were killed while seeking food, even as Israel moved to ease restrictions on the entry of aid.

Rejecting international calls for a ceasefire, the Israeli army has pursued a brutal offensive on Gaza since Oct. 7, 2023, killing over 59,700 Palestinians, most of them women and children. The relentless bombardment has destroyed the enclave and led to food shortages.

It is one of the highest reported death tolls among repeated recent cases in which people have been killed while looking for aid.